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General NPI Number Information
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NPI Number | 1548361801
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Entity Type | Individual
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Provider Name | SURESH KUMAR R. SARMA M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 09/23/2024
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Provider Practice Location Address
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Address Line | PO BOX 510396
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City | PUNTA GORDA
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State | FL
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Zip | 33951-0396
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Country | US
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Telephone | 217-899-8008
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Fax |
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Provider Business Mailing Address
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Address Line | 24646 NOVA LN
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City | PUNTA GORDA
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State | FL
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Zip | 33980-2743
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Country | US
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Telephone | 217-899-8008
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 036-106134
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 126412
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License Number State | FL
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